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ᐔᚑ '5 ᐕ࿖1ஜᐽ2ᩕ㙃⺞ᩏߩߦࠃࠆߣ‫ᦺޔ‬㘩ߩᰳ㘩3ߪ‫ޔ‬20 4ઍᅚᕈߢ 23.68‫ޔ‬30 4ઍᅚᕈߢ '2.7%ߺࠄࠇࠆ ')㧔࿑ '㧕‫ ;ޔߚ߹ޕ‬20 ᐕߩᐕ<ផ=ߢߪ‫ߩߤޔ‬ᐕઍߦ߅޿ߡ߽‫ᦺޔ‬㘩ᰳ㘩3ߪჇടߒ‫ޔ‬20 4ઍ෸߮ 30 4ઍߢߪ>ߦჇട߇?ߒ޿㧔࿑ 2㧕‫ޕ‬ᦺ㘩ᰳ㘩3

1985 ᐕ㧔@A 60 ᐕ㧕

20 4ઍᅚᕈ

14.78

B

23.68

30 4ઍᅚᕈ

6.48

B12.78  


2003 ᐕ㧔ᐔᚑ 15 ᐕ㧕 

$%&'()*+ ,ㆡಾߥ㘩ຠㆬᛯ߿㘩੐ߩḰ஻ߩߚ߼ߩᔅⷐߥ⍮⼂2ᛛⴚߦߟ޿ߡCߨߚߣߎࠈ‫ޔ‬⍮⼂߿ᛛⴚ߇D߹ߞߚߊߥ޿ED޽߹ࠅߥ޿Eߣ࿁Fߔࠆ⠪߇‫ޔ‬20 4ઍ෸߮ 30 4ઍߩᅚᕈߢߪ; 5 ഀ⷗ฃߌࠄࠇߚ 2)㧔࿑ 3㧕‫ޔߚ߹ޕ‬Gಽߩஜᐽߠߊࠅߩߚ߼ߦᩕ㙃߿㘩੐ߦߟ޿ߡ⠨߃ࠆߎߣ߇޽ࠆ߆Cߨߚߣߎࠈ‫ޔ‬ᩕ㙃߿㘩੐ߦߟ޿ߡ; 8 ഀߩ⠪߇Dࠃߊ⠨߃ࠆED‫ޘ‬⠨߃ࠆEߣ࿁Fߒߚ߽ߩߩ‫ ߦ>ޔ‬20 4ઍߩᅚᕈߢߪ‫ޔ‬4 ੱߦ ' ੱ߇D޽߹ࠅ⠨߃ߥ޿ED߹ߞߚߊ⠨߃ߥ޿Eߣ࿁Fߒߡ޿ߚ 3)㧔࿑ 4㧕‫ޕ‬

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$ %&'()*(+./0123)45678

9:; <=ஜᐽߩ⛽ᜬ࡮Ⴧㅴߩߚ߼ߦߪࠛࡀ࡞ࠡ࡯߿ฦ⒳ᩕ㙃⚛ࠍㆡಾߦ៨ขߔࠆߎߣ߇㊀ⷐߢ޽ࠆ߇‫ޔ‬⧯޿ᅚᕈߦ߅޿ߡߪផᅑ㊂߿⋡቟㊂ࠍචಽߦߣࠇߡ޿ߥ޿⁁ᴫߦ޽ࠆ )4)㧔࿑ 5,7,8㧕
‫ޔߚ߹ޕ‬⢽⾰ࠛࡀ࡞ࠡ࡯Ყ₸ߪ㜞ߊ‫ޔ‬20 ᱦઍ߆ࠄ 40 ᱦઍߦ߅޿ߡߪ⢽⢌߆ࠄߩࠛࡀ࡞ࠡ࡯៨ขഀว߇⋡ᮡߢ޽
ࠆ 25㧑ࠍ⿥߃ߡ߅ࠅ‫ޔ‬὇᳓ൻ‛ࠍචಽߦ៨ขߔࠆᔅⷐ߇޽ࠆ )㧠)㧔࿑ 6㧕‫ޕ‬ߐࠄߦ‫ޔ‬㘩ຠ࡟ࡌ࡞ߦ߅޿ߡ߽‫ߩߤߥ࡞࡜ࡀࡒ߿ࡦࡒ࠲ࡆޔ‬ଏ⛎Ḯߣߥࠆ㊁⩿ߩ៨ข㊂߿ࠞ࡞ࠪ࠙ࡓߩଏ⛎Ḯߣߥࠆ‐੃࡮੃⵾ຠߩ៨ข㊂߇៨ข⋡ᮡ㊂ࠍᄢ߈ߊਅ࿁ߞߡ޿ࠆ )5)㧔࿑ 9,࿑ 0㧕‫ޕ‬‫ ׋‬5 ǨȍȫǮȸઅӕ᣽Ʊਖ਼‫ܭ‬ǨȍȫǮȸ࣏ᙲ᣽Ტ‫ࣱڡ‬࣏ᙲ᣽Ტ‫ࣱڡ‬,Ტ‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ࠰ᱫ᨞ኢКᲣ‫׋‬Ჱ ǫȫǷǦȠઅӕ᣽ƱǫȫǷǦȠઅӕ᣽ƱǫȫǷǦȠȠઅӕ᣽ƱǫȫǷǦȠႸ‫ܤ‬᣽ǫȫǷǦȠႸ‫ܤ‬᣽ȷႸ೅᣽Ⴘ‫ܤ‬᣽ȷႸ೅᣽Ტ‫ࣱڡ‬,‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ࠰ᱫ᨞ኢКᲣȝ4ȝ

‫ ׋‬6ǨȍȫǮȸƷ௿᫱እઅӕನ঺ൔᲢ‫ࣱڡ‬,Ტ‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ࠰ᱫ᨞ኢКᲣ‫׋‬Ჲ ᤧઅӕ᣽Ʊᤧਖ਼‫ڜ‬᣽ᤧઅӕ᣽Ʊᤧਖ਼‫ڜ‬᣽Ტ‫ࣱڡ‬,Ტ‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ࠰ᱫ᨞ኢКᲣ‫ ׋‬9 ᣼ᓔઅӕ᣽Ტ‫ࣱڡ‬,᣼ᓔઅӕ᣽Ტ‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ࠰ᱫ᨞ኢКᲣ‫ ׋‬0 ཅʐȷʐᙌԼઅӕ᣽Ტ‫ࣱڡ‬,ཅʐȷʐᙌԼઅӕ᣽Ტ‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ࠰ᱫ᨞ኢКᲣ㧔㧞㧕⧯޿ᅚᕈߩ૕ᩰࠍ߼ߋࠆ⃻⁁Ԙ૕ᩰߩ⃻⁁20 ᱦઍ෸߮ 30 ᱦઍᅚᕈߦ߅ߌࠆ૕ᩰ඙ಽߩಽᏓ߇ㄭᐕᄢ߈ߊᄌൻߒߡ‫ޔ‬ૐ૕㊀㧔߿ߖ㧕ߩ⠪㧔BMI㧨8.5㧕ߩഀว߇Ⴧടߒߡ޿ࠆ )㧔࿑ 㧕‫ޕ‬‫׋‬ᲫᲫ ˯˳᣻ᲢǍƤ
ᲢBMIᲶ˯˳᣻ᲢǍƤᲣ
ǍƤᲣ
BMIᲶ8.5
8.5ᲣӏƼᏄ฼ᲢӏƼᏄ฼ᲢBMIᏄ฼ᲢBMIĢBMIĢ25Უ25ᲣƷ࠰ഏਖ਼ᆆᲢ‫ࣱڡ‬ᲣƷ࠰ഏਖ਼ᆆᲢ‫ࣱڡ‬Უԙ࠳ࠗࠛ࠶࠻ߩ⃻⁁⧯޿ᅚᕈߢߪ‫ޔ‬‫⃻ޟ‬࿷‫ޔ‬૕㊀ࠍᷫࠄߘ߁ߣߒߡ޿ࠆ‫ޠ‬⠪߇ 5 ഀࠍ⿥߃ߡ޿ࠆ 6)㧔࿑ 2㧕‫⃻ޔߚ߹ޕ‬࿷ߩ૕ဳ߇‫ ߽ߡߞ޽ߢޠ߁ߟ߰ޟ‬5 ഀએ਄ߩ⠪߇૕㊀ࠍᷫࠄߘ߁ߣߒߡ޿ࠆߛߌߢߥߊ‫ ߦ․ޔ‬20ᱦઍ෸߮ 30 ᱦઍߦ߅޿ߡ‫⃻ޔ‬࿷ߩ૕ဳ߇‫ޟ‬ૐ૕㊀‫ޔ߽ߡߞ޽ߢޠ‬૕㊀ࠍᷫࠄߘ߁ߣߒߡ޿ࠆ⠪߇ ഀએ਄‫⷗ޔ‬ฃߌࠄࠇߚ 6)㧔࿑ 3㧕‫ޕ‬ȝ5ȝ‫ ׋‬2 ྵ‫נ‬ྵ‫נ‬,,˳᣻ǛถǒƦƏƱƠƯƍǔᎍƷлӳᲢ‫ࣱڡ‬,лӳᲢ‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ‫ ׋‬3 ˳‫׹‬К ˳᣻ǛถǒƦƏƱƠƯƍǔᎍƷлӳᲢ‫ࣱڡ‬,лӳᲢ‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ㧔㧟㧕ᅧ↥ᇚ߿↢߹ࠇߡߊࠆሶߤ߽ߩஜᐽߣ㘩ࠍ߼ߋࠆ⃻⁁Ԙᅧ↥ᇚߦ߅ߌࠆࠛࡀ࡞ࠡ࡯߿ฦ⒳ᩕ㙃⚛ߩ៨ข⁁ᴫᅧᇚ‫ޔ‬᝼੃ᇚߪࠛࡀ࡞ࠡ࡯෸߮ฦ⒳ᩕ㙃⚛ߦ߅޿ߡ‫ޔ‬㕖ᅧᆼᤨ‫ޔ‬㕖᝼੃ᤨࠃࠅ߽චಽߦ៨ขߔࠆᔅⷐ߇޽ࠆ‫߿ࡓ࠙ࠪ࡞ࠞ߼ߓߪࠍ࡯ࠡ࡞ࡀࠛޔߒ߆ߒޕ‬㋕ߥߤߩ៨ข㊂ߦߟ޿ߡߪ‫ ޔ‬ᣣߦᔅⷐߣ
ߐࠇࠆ៨ข㊂ࠍ⏕଻ߢ߈ߡ޿ߥ޿⁁ᴫߦ޽ࠆ 7)㧔⴫ 㧕‫ޕ‬ᘙᲫ ‫ۡک‬,‫ۡک‬,੉ʐۡƷǨȍȫǮȸӏƼ௿᫱እઅӕ᣽‫ۡک‬Ტn=330Უൔ᠋‫ݣ‬ༀ፭ᲬᲣᲢn=330Უ੉ʐۡᲢn=338Უൔ᠋‫ݣ‬ༀ፭ᲭᲣᲢn=338Უ࠯‫ר‬અӕ᣽௿᫱৑ᙲ᣽ᲫᲣ࠯‫ר‬અӕ᣽௿᫱৑ᙲ᣽ᲫᲣ࠯‫ר‬અӕ᣽௿᫱৑ᙲ᣽ᲫᲣ࠯‫ר‬અӕ᣽௿᫱৑ᙲ᣽ᲫᲣ

ǨȍȫǮȸᲢkcalᲣ

869253

83

992072

2589

893

97

ƨǜƺƘឋᲢgᲣ

73.7

76.9

72.6

60.7

80.4

80.3

73.8

60.8

ᏢᏆᲢgᲣ

60.4

58.9

65.7

6.2

໗൦҄ཋᲢgᲣ

254.7

24.7

282.6

253.8

ǫȫǷǦȠᲢmgᲣ

597.7

923.3

499.6

600.0

609.4

00.0

499.

600.0

ᤧᲢmgᲣ

.0

8.4

0.6

2.0

.5

20.0

0.3

2.0

᫢‫ط‬ᲢgᲣ.7ȓǿȟȳ᲻ᲢIUᲣ

3442

935

243

800

3200

3200

2643

800

ȓǿȟȳ᲼ᲫᲢmgᲣ

.20

0.90

.08

0.80

.20

.0

.07

0.80

ȓǿȟȳ᲼ᲬᲢmgᲣ

.42

.20

.26

.0

.50

.50

.30

.0

ȊǤǢǷȳᲢmgᲣ

5.2

4.

5.2

2.8

6.5

7.6

5.7

2.7

ȓǿȟȳᲽᲢmgᲣ

26.

60

4.350

30.3

90

4.050

ȓǿȟȳᲾᲢIUᲣ

79.7

400

95.0

00

99.5

400

9.4

00

ȓǿȟȳᲿᲢIUᲣ

9.

2.

2.9

8.9

9.9

.6

9.

ᲫᲣᇹ 6 ഏો‫ܭ‬ଐஜʴƷ௿᫱৑ᙲ᣽ƴؕƮƘ ᲬᲣᛦ௹‫ݣ‬ᝋƷž‫ۡک‬ſƱӷơ࠰ᱫನ঺Ʒ᩼‫ۡک‬ᨼ‫ ׇ‬ᲭᲣᛦ௹‫ݣ‬ᝋƷž੉ʐۡſƱӷơ࠰ᱫನ঺Ʒ᩼੉ʐۡᨼ‫ׇ‬ҽဃі΁Ⴞž‫׎‬ൟ௿᫱ᛦ௹ſᲢ995Ყ999ᲣǛǋƱƴЎௌ᝻૰ᲴTakimoto H ,Yoshiike N, Katagiri A, Ishida H, Abe S. Nutritional status of pregnant and lactating women in Japan:
A comparison with non-pregnant/non-lactating controls in the National Nutrition Survey. J.Obstet.Gynaecol.Res 2003;
29(2):96-103

ȝ6ȝԙ↢߹ࠇߡߊࠆሶߤ߽ߩஜᐽࠍ߼ߋࠆ⃻⁁ㄭᐕ‫ޔ‬ૐ಴↢૕㊀ఽߩഀวߪჇട௑ะߦ޽ࠆ‫ੱޕ‬ญേᘒ⛔⸘ߩ⚿ᨐߢߪ‫ޔ‬993 ᐕ㧔ᐔᚑ 5 ᐕ㧕ߦ
6.8㧑ߛߞߚૐ಴↢૕㊀ఽߩ಴↢ഀว߇ 2003 ᐕ㧔ᐔᚑ 6 ᐕ㧕ߦߪ 9.4㧑ߣჇടߒߡ޿ࠆ 8)㧔࿑ 4㧕‫ޕ‬ᅧᆼ೨ߩ૕ᩰ߿ᅧᆼਛߩ૕㊀Ⴧട߇‫ޔ‬ૐ಴↢૕㊀ఽߩ಴↢㗫ᐲߦ㑐ࠊࠆߎߣ߇޿ࠊࠇߡ߅ࠅ‫ޔ‬ㆡಾߥᩕ㙃ᜰዉ߿૕㊀▤ℂߩ㊀ⷐᕈ߇␜ໂߐࠇࠆߣߎࠈߢ޽ࠆ‫ޕ‬2 ਎♿ߩᲣሶ଻ஜߦ߅ߌࠆ࿖᳃ㆇേ⸘
↹‫ޟ‬ஜ߿߆ⷫሶ 2‫ోޔ߽ߡ޿߅ߦޠ‬಴↢ᢙਛߩૐ಴↢૕㊀ఽߩഀวߦߟ޿ߡ 200 ᐕߩ⋡ᮡࠍ‫ޟ‬ᷫዋ௑ะ߳‫⺖ࠆߔߣޠ‬㗴߇␜ߐࠇߡ޿ࠆ㧔⴫ 2㧕‫ޕ‬߹ߚ‫ޔ‬ᚒ߇࿖ߦ߅޿ߡߪ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒↢₸߇ 998 ᐕᒰᤨߢ಴↥㧔ᱫ↥ࠍ฽߻㧕 ਁੱߦ
ኻߒ 6.0 ߢ‫ߜ߁ޔ‬ੑಽ⣄ᬁߩ⊒↢₸ߪ 3.2 ⒟ᐲߢ޽ࠅ‫ޔ‬2003 ᐕߦߪ 6. ߣߥߞߡ޿ࠆ 9)‫ޕ‬ᅧᆼᦼߦ߅޿ߡߪ‫▤⚻␹ޔ‬㐽㎮㓚ኂ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߦㆡᱜ៨ข߇ផᅑߐࠇߡ޿ࠆ⪲㉄ߦߟ޿ߡ߽චಽߥ៨ข㊂㧔400Ǵg/ᣣ㧕ߪ⏕଻ߐࠇߡ޿ߥ޿ )5)਄‫ߩ㉄⪲ޔ‬ଏ⛎Ḯߩ߭ߣߟߢ޽ࠆ✛㤛⦡㊁⩿ߦߟ޿ߡ߽චಽߦߣࠇߡ޿ߥ޿ )㧔࿑ 9,࿑ 5㧕‫ޕ‬ȝ7ȝ‫ ׋‬Ჯ ᓶᣠઅӕ᣽Ʊᓶᣠਖ਼‫ڜ‬᣽Ტ‫ࣱڡ‬ᓶᣠઅӕ᣽Ʊᓶᣠਖ਼‫ڜ‬᣽Ტ‫ࣱڡ‬,Ტ‫ࣱڡ‬,࠰ᱫ᨞ኢКᲣ
ᢥ₂㧝㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 5 ᐕ࿖᳃ஜᐽ࡮ᩕ㙃⺞ᩏႎ๔.
㧞㧕ෘ↢ഭ௛⋭㧚ᐔᚑ  ᐕ࿖᳃ᩕ㙃⺞ᩏ⚿ᨐ.
㧟㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 2 ᐕ࿖᳃ᩕ㙃⺞ᩏ⚿ᨐ.
㧠㧕ෘ↢ഭ௛⋭㧚ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕.
㧡㧕ෘ↢ഭ௛⋭㧚2 ਎♿ߦ߅ߌࠆ࿖᳃ஜᐽߠߊࠅㆇേ㧔ஜᐽᣣᧄ 2㧕㧚2000.
㧢㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 4 ᐕ࿖᳃ᩕ㙃⺞ᩏ⚿ᨐ.
㧣㧕Takimoto H ,Yoshiike N , Katagiri A , Ishida H , Abe S . Nutritional status of pregnant andlactating women in Japan: A comparison with non-pregnant/non-lactating controls in theNational Nutrition Survey.

J.Obstet.Gynaecol.Res 2003; 29(2):96-03.

㧤㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 6 ᐕੱญേᘒ⛔⸘.
㧥㧕ᐔᚑ 6 ᐕᐲ ෘ↢ഭ௛⑼ቇ⎇ⓥ⾌⵬ഥ㊄㧔ሶߤ߽ኅᐸ✚ว⎇ⓥ੐ᬺ㧕‫ޟ‬వᄤ⇣Ᏹࡕ࠾࠲࡝ࡦࠣ࡮ࠨ࡯ࡌࠗ࡜ࡦࠬߦ㑐ߔࠆ⎇ⓥ‫ޠ‬㧔ਥછ⎇ⓥ⠪㧦ᐔේผ᮸㧕.

ȝ8ȝ